Heart 1998;79:9-10 ( January )
Editorial
Enthusiasm, reality, and cost-effectiveness analysis
| The first 150 words of the full text of this article appear below. |
The enthusiasm of researchers and clinical investigators is an admirable and perhaps necessary trait for performing good clinical research but must not obscure the interpretation of trial results. Cost-effectiveness analysis is being promoted as an objective means to measure the balance between the effectiveness of a treatment and its cost. Although cost-effectiveness analysis in medicine is in its infancy, much work has been performed to solidify its methodological underpinnings.1-3 Clinicians, nevertheless often remain suspicious of the process as they realise how difficult it may be to have reliable cost and efficacy information.
This issue contains an article by Aristides and colleagues on the cost-effectiveness of abciximab in preventing restenosis following percutaneous transluminal coronary angioplasty (PTCA).4 We agree wholeheartedly with the caveats expressed by Glasziou in his accompanying editorial5 and add some further worries in this commentary.
The key ratio in cost-effectiveness analysis has a numerator of costs
and a denominator
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